| NPI | 1437453719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 2674) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 58003766) |
| Enumeration Date | 2010-12-31 |
| Last Update Date | 2024-04-26 |